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Speech results after pharyngeal flap operations

Speech results after pharyngeal flap operations

Japanese Journal of Plastic & Reconstructive Surgery 31(3): 202-208

We report on the speech results of 93 patients who have undergone pharyngeal flap surgery to correct velopharyngeal incompetence. The subjects were operated on between 1980 and 1985. Thirty-three cases were primarily operated on to correct congenital velopharyngeal incompetence or adult cleft palate deformities. Of 60 cases that required a secondary operation for pediatric cleft palate deformities, 19 were cases that had their primary operation done at our clinic, whereas the remaining 41 cases had their primary operations done elsewhere. Although a single superior pharyngeal flap operation sufficed for most cases, 21 cases required both a pharyngeal flap operation and a pushback operation. The speech results after these pharyngeal flap operations were as follows: (1) Hpernasality improved in all cases. (2) The incidence of patients who regained normal voice amounted to 58.0%. (3) Mild hypernasality was found to be more pronounced with age. (4) Hyponasality was evidenced in 9 cases, including one 3-year-old girl with a submucous cleft, who had developed hyponasality after a pharyngeal flap operation and required a division of the flap for correction. (5) Patients who had hypernasality and/or hyponasality had poor movements of the soft palate and the pharyngeal wall. (6) Nasal emissions disappeared but glottal stops and other articulation errors did not. Speech therapy can effectively remedy such cases.

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Accession: 006461478

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